Individual
DR. JACOB MARSHALL GILLIKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1301 RIVERPLACE BLVD STE 2540, JACKSONVILLE, FL 32207-9032
(904) 387-4030
Mailing address
3926 DANFORTH DR W, JACKSONVILLE, FL 32224-2248
(757) 724-0315
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME128123
FL
207LP3000X
Pediatric Anesthesiology Physician
ME128123
FL
Other
Enumeration date
04/03/2012
Last updated
04/02/2020
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